Provider First Line Business Practice Location Address:
1086 FRANKLIN ST
Provider Second Line Business Practice Location Address:
MEMORIAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15905-4398
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-534-3772
Provider Business Practice Location Address Fax Number:
814-534-3933
Provider Enumeration Date:
04/13/2007